{"id":8039,"date":"2025-04-11T07:38:09","date_gmt":"2025-04-11T11:38:09","guid":{"rendered":"https:\/\/www.silvercentury.org\/?p=8039"},"modified":"2025-04-13T08:03:02","modified_gmt":"2025-04-13T12:03:02","slug":"how-to-lower-the-risk-that-youll-be-hospitalized-or-die","status":"publish","type":"post","link":"http:\/\/78.142.243.82\/~silvercentury\/2025\/04\/how-to-lower-the-risk-that-youll-be-hospitalized-or-die\/","title":{"rendered":"How to Lower the Risk That You\u2019ll Be Hospitalized or Die"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">In 2006, Carmen Emery endured a bad case of shingles\u2014just before the vaccine became available. She spent months in agonizing pain. Afterward, she got the shot as soon as she could and encouraged family and friends to get theirs too.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cI&#8217;ve told everyone to get the vaccine,\u201d Emery said. \u201cIf they&#8217;re not convinced, I&#8217;ll show them the scars on my back.\u201d&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Now Emery is staying up to date on the recommended vaccinations for older adults. Most recently, she got the respiratory syncytial virus (RSV) vaccine to protect herself as well as her husband, who has asthma and other chronic lung issues.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Unfortunately, many older adults aren\u2019t following Emery\u2019s example. Only about one-quarter of adults ages 65 and up in the United States are getting all of their recommended vaccinations, according to the <\/span><a href=\"https:\/\/www.cdc.gov\/adultvaxview\/publications-resources\/adult-vaccination-coverage-2022.html\"><span style=\"font-weight: 400;\">2022 National Health Interview Survey<\/span><\/a><span style=\"font-weight: 400;\"> (NHIS).&nbsp;&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cSubstantial improvement in adult vaccination uptake is needed to reduce the burden of vaccine-preventable diseases nationally,\u201d according to the NHIS report. \u201cIncreasing the proportion of adults who receive recommended age-appropriate vaccines \u2026 is a high-priority public health issue.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Study after study confirms that vaccines keep older adults healthier and less susceptible to hospitalization, severe illness and death, according to Judith Ford, MD, chief clinical officer for Archwell Health, a primary care company for adults 60 and older. She ticks off a list: COVID vaccines reduced deaths by 59 percent from December 2020 to March 2023, when 96 percent of the casualties who died were over 60; the RSV vaccine is up to 80 percent effective in preventing hospitalization among immunocompromised adults over 60; patients vaccinated with the flu shot had a 26 percent lower rate of ICU admission and 31 percent lower risk of death.&nbsp;&nbsp;<\/span><\/p>\n<p><b>Changing Immune Systems<\/b><\/p>\n<p><span style=\"font-weight: 400;\">As people age, their immune systems naturally weaken\u2014a process called immunosenescence. This decline makes it harder for the body to fight off infections, leaving older adults more vulnerable to severe illness or even death. That\u2019s why, when the flu sends hundreds of thousands to the hospital and causes tens of thousands of deaths, the majority of them are older adults. Vaccines provide a crucial defense.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Most older adults know the drill when it comes to annual flu shots and the widely publicized COVID-19 vaccines and boosters, but not all are aware of the growing<\/span> <a href=\"https:\/\/www.cdc.gov\/vaccines\/imz-schedules\/adult-easyread.html\"><span style=\"font-weight: 400;\">list of vaccinations recommended<\/span><\/a><span style=\"font-weight: 400;\"> by the Centers for Disease Control for people 50 and up.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In August 2024, the CDC updated its guidelines to recommend a single dose of the RSV vaccine for adults 75 and older, or 60 and up for those living in residential facilities or with high-risk conditions.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cOver the past decade or so, we\u2019ve been seeing increasingly severe RSV infections in our older adult patients,\u201d said Laurie Archbald-Pannone, MD, associate professor of geriatrics at the University of Virginia School of Medicine. A study published in <\/span><i><span style=\"font-weight: 400;\">JAMA<\/span><\/i><span style=\"font-weight: 400;\"> in 2024 showed that vaccinated older adults were 75 percent less likely to be hospitalized for RSV compared to their unvaccinated peers.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The shingles vaccine was also added to the CDC\u2019s list in recent decades. Zostavax debuted in 2006, followed by a more effective successor, Shingrix, in 2017. The CDC now recommends the Shingrix vaccine, given in two doses, for people over 50.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other CDC-recommended vaccines include:&nbsp;<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>COVID-19.<\/b><span style=\"font-weight: 400;\">&nbsp;The latest recommendation is for a second dose of the 2024-2025 booster for those over 65 who are moderately or severely immunocompromised.&nbsp; Some experts believe COVID boosters may become a yearly ritual, like flu shots. Both the COVID booster and flu shot may be administered at the same time.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Pneumonia.<\/b><span style=\"font-weight: 400;\">&nbsp;The CDC recommends routine pneumococcal vaccines (PCV15, PCV20 or PCV21) for all adults ages 50 and up. Depending on the patient\u2019s health situation, a second vaccination may be advised after age 65.&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>High-dose flu shot.<\/b><span style=\"font-weight: 400;\"> An annual flu shot is recommended for everyone six months and older; for those over 65, the CDC advises a high-dose version. (Pro tip: get the annual shot in the early fall, by late October. The flu season runs from October through March; it takes about two weeks for the vaccine to take effect.)&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Hepatitis B.<\/b><span style=\"font-weight: 400;\">&nbsp;The vaccine is recommended for people over 60 with risk factors, such as multiple sex partners or a history of sexually transmitted infections.&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tetanus, diphtheria and pertussis (Tdap) booster.<\/b><span style=\"font-weight: 400;\"> Most Americans receive this vaccination as children; the CDC recommends a booster every 10 years.&nbsp;<\/span><\/li>\n<\/ul>\n<p><b>Undervaccination<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The cost of most of these vaccines is covered by Medicare, or by private insurance for those under 65. (Coverage may vary for the shingles vaccine, which falls under Part D drug coverage for Medicare patients.) Vaccines are widely available at doctor\u2019s offices, pharmacies, workplaces and community clinics.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Still, many older adults remain undervaccinated. For example, only 64 percent of adults 65 and up have received a pneumococcal vaccine, with disparities between white adults (69 percent vaccinated) compared to black (53 percent), Hispanic (42 percent) and Asian (50 percent) patients.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Barriers to vaccination include cost, needle phobia or lack of information on recommended vaccinations and how to obtain them. Barriers were more likely to affect older adults with less education, in racial minorities, or those living alone or in rural areas.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another barrier: not all doctors proactively encourage vaccinations. And a doctor\u2019s recommendation makes a big difference, according to Sean Ormond, MD, a pain management specialist in Glendale, AZ.&nbsp; Even his vaccine-hesitant patients are usually accepting\u2014when he recommends vaccinations.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cSometimes patients have heard myths about side effects or think they don\u2019t need them,\u201d Ormond said. \u201cI try to take the time to explain the benefits. When patients understand how vaccines can protect them\u2014not just from illness but also from pain and complications\u2014they\u2019re usually more willing.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ford frequently hears this refrain: \u201cOh, I never get the flu shot, it makes me sick.\u201d However, none of the vaccinations recommended for older adults are live vaccines.&nbsp;&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThey can\u2019t cause disease; it\u2019s biochemically impossible,\u201d she said. \u201cThey might make you feel punky for a couple of days or give you a sore arm. But you\u2019re not getting the disease. That\u2019s your body building up immunity.\u201d<\/span><\/p>\n<p><b>Rare Reaction<\/b><\/p>\n<p><span style=\"font-weight: 400;\">After a bad reaction to the COVID-19 vaccine, Glenda Williams, 63, won\u2019t be getting any COVID boosters or any of the other vaccinations recommended for older adults.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Williams (not her real name) did fine with the first shot, but the booster triggered a series of scary symptoms: panic attacks, itching, a burning sensation and vision loss. Her doctor diagnosed mast cell activation syndrome, an uncommon but documented reaction linked to the COVID-19 vaccine. Because she has Hashimoto\u2019s disease, an autoimmune condition, the shot triggered irritation in her immune system. It took months, but dietary changes (eliminating foods with histamines) eventually cleared up most of the symptoms.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cI\u2019m not an anti-vaxxer, even after what I went through,\u201d she said. \u201cBut vaccinations are not for me.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Older adults with chronic conditions or a history of reactions to vaccinations should talk with their physicians before proceeding with any of the recommended vaccinations. But at the same time, for those with conditions like COPD, asthma, kidney or other chronic illnesses, it\u2019s especially critical to consider vaccinations to protect from respiratory diseases like COVID, flu, RSV and pneumonia.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cVaccines are not always going to protect you 100 percent,\u201d she said. \u201cYou may still get the disease, but the vaccine can make the difference between a mild case, or ending up in the hospital, or having long-term problems. In the case of COVID-19, for example, we know that people who are vaccinated are less likely to have long COVID.\u201d&nbsp;<\/span><\/p>\n<blockquote><p><b>A great question for new or soon-to-be grandparents to ask themselves is, \u2018What vaccines do I need to be updated on?\u2019<\/b><\/p>\n<p>\u2014 <b>Edgar Navarro Garza, MD<\/b><\/p><\/blockquote>\n<p><span style=\"font-weight: 400;\">Similarly, vaccinated patients who do contract shingles are less likely to suffer from postherpetic neuralgia, which can be debilitating.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Misinformation and conspiracy theories, which proliferated during the COVID-19 pandemic, have further muddied the picture in recent years.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cUnfortunately, vaccination has become a political issue, which drives me crazy because it\u2019s not\u2014it\u2019s a medical issue,\u201d Ford said.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Archbald-Pannone thinks the pandemic may have created some \u201cvaccine fatigue,\u201d but at the same time, it raised awareness about vaccinations that she hopes could help reverse the low vaccination rates among older adults.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cComing out of the public health emergency, many of my patients have become really focused on what they can do to stay as healthy as possible, and some are much more proactive about staying up to date on their vaccinations,\u201d she said.&nbsp;<\/span><\/p>\n<p><b>For the Grandkids<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Becoming a grandparent leads some older adults to revisit their vaccination schedules, according to Edgar Navarro Garza, MD, a pediatrician at Harbor Health in Austin, TX.&nbsp;&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cA great question for new or soon-to-be grandparents to ask themselves is, \u2018What vaccines do I need to be updated on?\u2019\u201d he said. \u201cYou want to be protected yourself, but also to protect your new grandchild. And it\u2019s also important to encourage all your family members to be updated too.\u201d&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That\u2019s one reason to consider the Tdap booster, which the CDC recommends every 10 years to prevent pertussis (whooping cough.) Some elementary schools in the United States have seen pertussis outbreaks in schools in recent years.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIf you\u2019ve ever heard someone with pertussis, you never forget that cough,\u201d Ford said.&nbsp;&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ford adds that additional vulnerability to illness is something that older adults share with babies and toddlers. Typically, children tend to be more vulnerable to different types of infections than older adults, but RSV is an exception.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cRSV is bimodal\u2014it mostly affects children and seniors,\u201d Ford said. Every year, RSV hospitalizes lots of babies and children as well as older adults; at peak season, entire wings of hospitals are filled with RSV cases.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ford says she\u2019ll continue to \u201cbang the drum\u201d for vaccinations.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cFor every type of vaccine, the evidence is overwhelming,\u201d she said. \u201cWe want to keep people out of the hospital. If they do go, we want their stay to be short, and we don\u2019t want them in the ICU. Most importantly, we don\u2019t want patients to succumb to these diseases. Vaccinations are a no-brainer.\u201d&nbsp;<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In 2006, Carmen Emery endured a bad case of shingles\u2014just before the vaccine became available. She spent months in agonizing pain. Afterward, she got the shot as soon as she could and encouraged family and friends to get theirs too.&nbsp;<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"http:\/\/78.142.243.82\/~silvercentury\/2025\/04\/how-to-lower-the-risk-that-youll-be-hospitalized-or-die\/\">Read more <span class=\"screen-reader-text\">How to Lower the Risk That You\u2019ll Be Hospitalized or Die<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":13,"featured_media":8040,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"_FSMCFIC_featured_image_caption":"","_FSMCFIC_featured_image_nocaption":"","_FSMCFIC_featured_image_hide":"","footnotes":""},"categories":[49,7,4],"tags":[],"class_list":["post-8039","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-featured","category-healthspan","category-issues-in-aging"],"cc_featured_image_caption":{"caption_text":"","source_text":"","source_url":""},"wps_subtitle":"If your goal is healthy aging, vaccinations can be the key\u00a0","_links":{"self":[{"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/posts\/8039","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/comments?post=8039"}],"version-history":[{"count":2,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/posts\/8039\/revisions"}],"predecessor-version":[{"id":8042,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/posts\/8039\/revisions\/8042"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/media\/8040"}],"wp:attachment":[{"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/media?parent=8039"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/categories?post=8039"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/78.142.243.82\/~silvercentury\/wp-json\/wp\/v2\/tags?post=8039"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}